BRENDA TYLOR AGACNP-BC
NPI 1790381820
Nurse Practitioner - Acute Care in Mesa, AZ
About Brenda Tylor Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDA TYLOR AGACNP-BC (NPI 1790381820) is an individual acute care provider in Mesa, Arizona, licensed in Arizona (250556) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gilbert, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brenda Tylor Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Brenda Tylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 538 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MESA, AZ 85206
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brenda Tylor's NPI number?
The NPI number for Brenda Tylor is 1790381820. It was assigned to this individual provider in the NPPES registry on December 4, 2020.
Where is Brenda Tylor located?
Brenda Tylor practices at 6750 E Baywood Ave Ste 507, Mesa, AZ 85206. The listed phone number is (480) 684-6487.
What is Brenda Tylor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Brenda Tylor enrolled in Medicare?
Yes. Brenda Tylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Brenda Tylor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Tylor reassigns Medicare benefits to Banner Physician Specialists Arizona LLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brenda Tylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brenda Tylor accept?
Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Brenda Tylor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brenda Tylor was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brenda Tylor, AGACNP-BC · NPI 1790381820
Acute Care physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since December 4, 2020.
## Identity
- **NPI:** 1790381820 (Entity type: Individual)
- **Enumerated:** December 4, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 250556 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 6750 E BAYWOOD AVE STE 507, Mesa, AZ 85206-1749
- **Phone:** (480) 684-6487
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner Physician Specialists Arizona LLC (NPI 1033730429, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790381820) · Data from the CMS NPPES public registry.